Surgical procedure for bilateral nail bed removal in ingrown toenail
Mar 14, 2023
Source: Cainiu Health
Dr. Wang Xiaoyan
Introduction
Make a longitudinal incision on each side of the nail bed with a scalpel, ensuring the proximal end does not extend beyond the base of the nail bed. Then insert a sharp blade under the root of the nail to separate the nail from the surrounding skin. Reflect the skin flaps upward, drain the pus, and wipe the area with a cotton swab. Dry the affected skin with gauze, disinfect with alcohol, apply an anti-inflammatory medication, and finally dress the wound with gauze strips.
Paronychia is an inflammatory reaction affecting the skin folds surrounding the nail. In severe cases, a bilateral nail bed excision procedure may be required. The surgery should be performed at a正规 hospital, with the specific steps as follows:
1. Before the surgery, the patient should clean both feet thoroughly. Upon entering the operating room, the patient sits down, and the anesthesiologist administers local anesthesia to the affected limb.
2. The physician disinfects the affected toe with alcohol, then makes a longitudinal incision on each side of the nail bed using a scalpel, ensuring the proximal end does not extend beyond the base of the nail bed.
3. A sharp blade is inserted beneath the nail root to separate the nail from the surrounding skin. The skin flap is then lifted upward to drain pus, which is wiped away using cotton swabs.
4. The affected area is dried with dry gauze, disinfected again with alcohol, applied with anti-inflammatory medication, and finally dressed with gauze strips.
After surgery, it is important to keep the surgical incision clean and dry, avoiding pressure or impact on the wound.
